Dr Iain Duncan
PRP tendon research updates

PRP Therapy Ongoing Updates

Latest updates first Update Late 2021 The PRP literature expands constantly, which is good because we all need more precise data. An important paper published in Arthroscopy July 2021 did a network meta analysis.  Zhao et al. from Guangzhou University of Chinese Medicine included 43 randomized controlled trials in patients with knee osteoarthritis (level II evidence […]

References: PRP Therapy for Shoulders

Ridley, E. (2015). US-guided injections help ward off rotator cuff degeneration. AuntMinnie. http://www.auntminnie.com/index.aspx?sec=sup&sub=ult&pag=dis&ItemID=110012 Randelli, P., Randelli, F., Ragone, V., Menon, A., D’Ambrosi, R., Cucchi, D., Cabitza, P., & Banfi, G. (2014). Regenerative medicine in rotator cuff injuries. BioMed Research International, 2014. https://doi.org/10.1155/2014/129515 Kwong C et al. Platelet-Rich Plasma in Patients With Partial-Thickness Rotator Cuff Tears or […]

PRP for osteaoarthritis

Updates on PRP (platelet rich plasma) injections for osteoarthritis

Order of updates is newest to oldest Iain Duncan Update July 2020 Based on a number of studies and our own experience there are benefits from doing repeated or cycling PRP injections for osteoarthritis of the knee. One such study showed PRP injections led to a significant reduction in pain and improvement in function after […]

shoulder pain

Recommendations for Management of Rotator Cuff Tears

There are extensive recommendations from the American Academy of Orthopaedic Surgeons about Management of Rotator Cuff Injuries Clinical Practice Guidelines, Published in March 2019. Some strong and moderate recommendations are listed below. Weaker recommendations have not been listed. STRONG = Evidence from two or more “High” quality studies with consistent findings for recommending for or […]

Osteoarthritis knee

Meta-analysis Comparing Platelet-Rich Plasma vs Hyaluronic Acid Injection in Patients with Knee Osteoarthritis

Yanhong Han, MD, Hetao Huang, PhD, Jianke Pan, PhD, Jiongtong Lin, MD, Lingfeng Zeng, PhD, Guihong Liang, MD, Weiyi Yang, PhD, Jun Liu, PhDAuthor Notes Source document: Pain Medicine, Volume 20, Issue 7, July 2019, Pages 1418–1429, link: https://doi.org/10.1093/pm/pnz011 Purpose The purpose of this meta-analysis was to compare platelet-rich plasma (PRP) and hyaluronic acid (HA) in patients with knee osteoarthritis (KOA). Methods Randomized […]

INJECTION SHOULDER

PRP and Visco-supplementation for rotator-cuff tears

I am seeing a growing interest and noting more research in both PRP (platelet rich plasma) and hyaluronate/viscosupplementation therapies for the treatment of both arthritis and tendon pathologies. In many of the earlier studies  there was no control patients, but this has been improved in several recent studies. In particular I draw your attention to […]

Relative efficacy and safety of topical non-steroidal anti-inflammatory drugs for osteoarthritis: a systematic review and network meta-analysis of randomised controlled trials and observational studies

Chao Zeng, Jie Wei2, Monica S M Persson et al.View post Objectives To compare the efficacy and safety of topical non-steroidal anti-inflammatory drugs (NSAIDs), including salicylate, for the treatment of osteoarthritis (OA). Methods PubMed, Embase, Cochrane Library and Web of Science were searched from 1966 to January 2017. Randomised controlled trials (RCTs) comparing topical NSAIDs […]